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Abstract：
The physical load ensuing from the repositioning and moving of patients puts health care workers at risk of musculoskeletal complaints. Technical equipment developed to aid with patient handling should reduce physical strain and workload; however, the efficacy of these aids in preventing musculoskeletal disorders and complaints is still unclear. A systematic review of controlled intervention studies was conducted to examine if the risk of musculoskeletal complaints and disorders is reduced by technical patient handling equipment. MEDLINE®/PubMed®, EMBASE®, Allied and Complementary Medicine Database (AMED), and Cumulative Index of Nursing and Allied Health Literature (CINAHL®) were searched using terms for nursing, caregiving, technical aids, musculoskeletal injuries, and complaints. Randomized controlled trials and controlled before-after studies of interventions including technical patient handling equipment were included. The titles and abstracts of 9554 publications and 97 full-texts were screened by two reviewers. The qualitative synthesis included one randomized controlled trial (RCT) and ten controlled before-after studies. A meta-analysis of four studies resulted in a pooled risk ratio for musculoskeletal injury claims (post-intervention) of 0.78 (95% confidence interval 0.68-0.90). Overall, the methodological quality of the studies was poor and the results often based on administrative injury claim data, introducing potential selection bias. Interventions with technical patient handling aids appear to prevent musculoskeletal complaints, but the certainty of the evidence according to GRADE approach ranged from low to very low.
摘要：
患者的重新定位和移动带来的身体负担使医护人员面临肌肉骨骼疾病的风险。为帮助患者处理而开发的技术设备应减少身体压力和工作量；然而，这些艾滋病在预防肌肉骨骼疾病和疾病方面的功效尚不清楚。对受控干预研究进行了系统回顾，以检查技术患者处理设备是否降低了肌肉骨骼疾病和疾病的风险。MEDLINE®/PubMed®,EMBASE®,联合和补充医学数据库（AMED），使用护理术语搜索护理和相关健康文献累积指数(CINAHL®)，照顾,技术援助,肌肉骨骼损伤，和投诉。包括随机对照试验和干预前后对照研究，包括技术患者处理设备。由两名审稿人筛选了9554种出版物和97种全文的标题和摘要。定性综合包括一项随机对照试验（RCT）和十项对照前后研究。对四项研究的荟萃分析导致肌肉骨骼损伤索赔（干预后）的合并风险比为0.78（95％置信区间0.68-0.90）。总的来说,研究的方法学质量较差，结果往往基于行政损害索赔数据，引入潜在的选择偏差。对技术患者处理辅助设备的干预似乎可以防止肌肉骨骼不适，但根据GRADE方法，证据的确定性从低到非常低。
